• Title, Summary, Keyword: Postpartum-depression

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Influence of Childbirth Experience and Postpartum Depression on Quality of Life in Women after Birth (분만경험과 산후 우울이 출산 후 여성의 삶의 질에 미치는 영향)

  • Yeo, Jung Hee;Chun, Nami
    • Journal of Korean Academy of Nursing
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    • v.43 no.1
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    • pp.11-19
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    • 2013
  • Purpose: The purpose of this study was to identify influence of childbirth experience and postpartum depression on quality of life in women after birth. Methods: Two hundred and eleven postpartum women were asked to complete the questionnaires on their childbirth experience during their admission and on their postpartum depression and quality of life between one to three weeks after birth. Initial data were collected from February 1 to May 30, 2011 at two obstetric hospitals in Busan, Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and hierarchical multiple regression. Results: The women's childbirth experience and postpartum depression were identified as factors influencing quality of life after birth. The model explained 50% of the variables. Conclusion: Results suggest that childbirth educators should include strategies to increase a positive childbirth experience and to decrease postpartum depression in their education programs in order to improve women's quality of life.

Convergence effect of spouse's support on postpartum depression and self-efficacy in primipara (배우자지지가 초산모의 산후우울과 자기효능감에 미치는 융합적 효과)

  • Yang, Ji-Woon;Jung, In-Sook
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.171-180
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    • 2018
  • This study is to find the convergence effect of a spouse's support on postpartum depression and self-efficacy in primipara. The subjects were 37 primipara who gave birth to normal full term babies and their spouses. Each spouse supported their mother and baby from the period of postpartum 1st to 6th week after finishing three sessions of postpartum mother and baby care using teaching material. The data was collected in the 1st and 6th week postpartum and analyzed using SPSS 20.0. The prevalence of postpartum depression in the 1st and 6th week were 24.3% and 0% each. The spouses' support lowered mothers' postpartum depression and increased self-efficacy(p<.001). And, the factors affecting to mothers' postpartum depression were additional personnel for postpartum management, income and antepartum depression, and to their self-efficacy was hospital treatment during pregnancy(p<.05). The results could be used in developing intervention programs on lowering primiparas' postpartum depression and increasing their self-efficacy after further studies with wider range of subjects and setting control group.

Convergence effects of husband's help on self-efficacy and postpartum depression in mother (남편의 도움이 산모의 자기효능감과 산후우울에 미치는 융합적 영향)

  • Jung, In-Sook
    • Journal of Convergence for Information Technology
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    • v.8 no.1
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    • pp.69-77
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    • 2018
  • This study is to find the convergence effect of a husband's help on self-efficacy and postpartum depression in mother. Each husband did mother and baby care until postpartum 6th week after completing three sessions of education. The data was collected in the 1st and 6th week postpartum, and analyzed using SPSS 20.0. Husbands's practice rate was 80%. Factors affecting to mothers' self-efficacy were parity, antepartum admission and husband's job, and to their postpartum depression were mothers' education, monthly income and antepartum depression. Prevalence of postpartum depression in the 1st and 6th week were 33.3% and 1.7% each. There were significant differences in increasing self-efficacy and in decreasing postpartum depression(p<.001), and there was a negative correlation between two variables(r=-.62, p=.01). Husbands' help brought convergence effects on increasing mothers' self-efficacy and decreasing postpartum depression(p<.001). This results could be used in developing intervention programs in managing mothers' self-efficacy and postpartum depression after repeated studies with wider range of subjects.

Predictors of Postpartum Fatigue Between Early and Late Postpartum Period in Parturient Women - Divided by 3/4 Weeks of Postpartum Period - (산모의 산욕전기와 산욕후기 피로 예측요인 - 삼칠일을 기준으로 -)

  • Song, Ju-Eun
    • Korean Journal of Women Health Nursing
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    • v.13 no.4
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    • pp.299-309
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    • 2007
  • Purpose: The purpose of this study was to compare the predictors between the early and late postpartum period in parturient women. Methods: The Subjects were 399 healthy postpartum women who visited the obstetric clinic at 5 hospitals for a routine check up after childbirth. They were divided into two groups: one was in the early postpartum period, the first three weeks after childbirth (n=107), the other was in the late postpartum period, four to six weeks after childbirth (n=292). The data were collected by using a self-report questionnaire from July to September, 2006. The data were analyzed with the SPSS 12.0 Win program. Results: There were significant statistical differences in age and parity between the two groups. Postpartum fatigue was significantly predicted by postpartum depression and age in the early period, and postpartum depression, sleep satisfaction, and childcare stress in the late period. The mean scores of childcare stress and perceived infant difficulty in the late period were significantly higher than those of the early postpartum period. Conclusion: Postpartum depression was the most important predictor of postpartum fatigue regardless of the postpartum period. In addition, especially in the late period, sleep satisfaction and childcare stress were significant predictors of postpartum fatigue. Based on these results, primary nursing interventions for reducing postpartum fatigue should focus on postpartum depression management, and nursing interventions for increasing sleep satisfaction and decreasing childcare stress would be helpful for management of postpartum fatigue in parturient women in the late period.

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Plasma Levels of Nitric Oxide Metabolites in Patients with Postpartum Depression (산후우울증 환자에서 혈중 Nitric Oxide Metabolites의 혈장 농도의 변화)

  • Lee, Bun-Hee;Kim, Kye Hyun;Shin, Young Chul;Kim, Jung Bum;Kim, Yong-Ku
    • Korean Journal of Biological Psychiatry
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    • v.13 no.1
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    • pp.19-25
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    • 2006
  • Background : Some reports have suggested that decreased nitric oxide metabolites($NO_x$) and activity of nitric oxide synthase could be related to the pathophysiology of depression. We evaluated plasma levels of $NO_x$ in pregnant women with and without postpartum depression at prenatal and postnatal period. Methods : The plasma concentrations of $NO_x$ were measured in 104 pregnant women in the third trimester and at 6 weeks postpartum and in 64 normal controls. The severity of depression and anxiety was measured with the Edinburgh Postnatal Depression Scale(EPDS), Beck Depression Inventory(BDI), and Beck Anxiety Scale(BAI). Results : Plasma $NO_x$ levels at 6 weeks postpartum were significantly lower in cases of postpartum major depression(EDPS scores${\geq}$13 points) than in cases without depression(EDPS scores${\leq}$9 points). Plasma $NO_x$ levels had significantly negative correlation with EPDS scores at 6 weeks postpartum. Conclusion : We demonstrate that decreased plasma $NO_x$ is associated with postpartum depression. Further studies are required to determine whether individual serum concentration of plasma $NO_x$ alone could predict maternal depression.

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A Study on the Postpartum Depression Experience : Q-Methodological Approach (산후 우울 경험에 관한 연구 -Q 방법론적 접근-)

  • 장혜숙;김수진;김정선;김흥규;최의순
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.917-929
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    • 1996
  • The purpose of this study is to explore types of postpartum depression and to understand the nature and structure of the postpartum depression by using Q-methodological approach. As a way of research, 55 statements concerning postpartum depression were selected through individual interviews with postpartum mothers and literature review. 30 women were chosen as a subject group for the study, with opinions shown in 55 statements divided into 9 scales by forced distribution. PC QUANL Program was used for analysis and Q-factors were analyzed by using principal component analysis. As a result, postpartum depression experience was classified into 5 types. There are "Role-Strain Type", "Unattributional Depression Type", "Psychosomatic Symptoms Type", "Self-Compassion Type", and "Role-Crisis Type". Type I was named "Role-Strain Type", referring to the strain generally experienced by mothers with regard to the new role as a mother and as a social member. Type II was named "Unattributional Depression Type", referring to the symptom experienced by people who were in a state of vanity and a sense of loss. They often break into tears for no specific reasons. In case of Type III, people in a state of "Psychosomatic Symptoms Type" develop physical symptoms after suffering from inherent emotional conflict. Type IV was named "Self-Compassion Type" refers to the symptom shown by those who feel pity for their children and for themselves. And they show inability to cope with the reality properly. Type V was named "Role -Crisis Type", which is experienced by people who have a burden and a severe fear of their own job and their children in their mind, also showing serious conflict with maternal role. Futhermore, it was carried out to examine structure of postpartum depression in terms of degree of depression and adjustment ability. Type I showed mild degree of depression and relatively good adjustment ability. Type II showed broad range of degree in depression and moderate adjustment ability. Type III showed moderate depression and relatively low adjustment ability. Type IV revealed relatively serious degree of depression and the lowest adjustment ability. Type V revealed very serious degree of depression and the lowest adjustment ability. As a result, considering the structure of postpartum depression. Type I is considered to be a normal depression sympton which most mothers generally experience, followed by Type II, Type III, Type IV and Type V, each of which show increasingly worse degree of depression and lower adjustment ability. In conclusion, it seems to be it is necessary to understand distinct symptoms of postpartum depression and to examine the characteristics and structure of those types, so that it could lead to more individual nursing approach.cteristics and structure of those types, so that it could lead to more individual nursing approach.

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Effects of Fatigue and Postpartum Depression on Maternal Perceived Quality of Life (MAPP-QOL) in Early Postpartum Mothers (초기 산욕기 산모의 피로와 산후우울이 지각된 삶의 질에 미치는 영향)

  • Choi, So-Young;Gu, Hye-Ja;Ryu, Eun-Jeong
    • Korean Journal of Women Health Nursing
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    • v.17 no.2
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    • pp.118-125
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    • 2011
  • Purpose: This study was done to identify effects of fatigue and postpartum depression on quality of life in early postpartum mothers. Methods: The data were collected from 130 mothers at four general hospitals in J and M metropolitan cities. Instruments used to collect the data for the study were the Fatigue Scale developed by Pugh (1993); Postpartum Depression Scale developed by Cox, Holden & Sagovsky (1987), and the Quality of Life Scale developed by Hill, Aldag, Hekel, Riner, G., & Bloomfield (2006). Results: Results showed that the mean for fatigue was 56.74, the mean for postpartum depression was $8.00{\pm}4.37$ and mean for quality of life was 19.78. The quality of life variable showed statistically significant differences for the variable: age (F=3.20, p=.026). The relationship between fatigue and quality of life showed a significant negative correlation (r=-.44, p<.001). The relationship between postpartum depression and quality of life also showed a negative correlation (r=-.42, p<.001). The relationship between postpartum depression and fatigue showed a positive correlation (r=.59, p<.001). These factors explained 23% of the variance in quality of life. Conclusion: The results indicate that it is necessary to develop nursing intervention programs to improve quality of life in for early postpartum mothers.

The Characteristics of 7-zone-diagnosis on Postpartum Depression (산후우울군과 비우울군의 7구역 진단기 특성연구)

  • Bak, Ji-Young;Lee, Eun-Hee;Ban, Ji-Hye;Kim, Tae-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.3
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    • pp.146-155
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    • 2011
  • Objectives: Since early developed measurement of Postpartum depression(PPD) doesn't reflect physical symptoms, we need to find out how PPD and related physical disorders are expressed in functional medical methods. The study was conducted to find out characteristics of 7 Zone diagnosis and postpartum physical symptoms on PPD. Methods: To 216 postpartum women who did normal delivery, we measured 7-zone-diagnosis Factor AA's height on 5th day and 15th day postpartum. And we surveyed EPDS and postpartum physical symptoms question on 15th day postpartum. Subjects were divided into normal and depression group by EPDS score. And we compared Factor AA's height between two groups and Factor AA's height change in each group. Results: In depression group, Factor AA's height was higher than normal group on 5th day and 15th day postpartum. In both groups Factor AA's height was decreased on 15th day compared to 5th day postpartum. In normal group 2, 6, 7 zone were significantly decreased and in depression group only 6 zone was significantly decreased. Conclusions: These results demonstrate that postpartum depression group has low recuperative power. And these can be judged by Factor AA's height change.

Literature analysis with the recent trend of researches concerning the postpartum depression and Sanhupung(産後風) (산후풍과 산후우울증의 관계에 대한 문헌적 고찰)

  • Bae, Geung-Mee;Cho, Hye-Sook;Lee, Seung-Hwan;Lee, In-Sun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.2
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    • pp.172-188
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    • 2009
  • Purpose: For mothers just delivered of a child, sanhupung(産後風) is a critical disease which can threaten their health. The symptoms of sanhupung were diverse and divided into pain symptoms, general symptoms, and neuropsychiatric symptoms. We tried to search for the relationship between sanhupung and somatization of postpartum depression. Methods: Analysis was carried out with materials concerning the postpartum depression and sanhupung. For the analysis, materials related with the issue of this study were searched at the Korea Education & Research Information Service, and Oriental medicine advanced searching. Results: 1. The range of period and symptoms of sanhupung has been broaden. The symptoms of sanhupung were divided into pain syndrome, general symptoms, and neuropsychiatric symptoms. 2. As the symptoms of postpartum depression might indicate not only physical symptoms but also mental disorder, more attention should be placed on wether the symptoms were involved in somatization of postpartum depression. Conclusion: The authors conclude that obstinate sanhupung that do not healed up and improve in symptoms have a relation to somatization of postpartum depression.

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A Clinical Report of a postpartum depression patient who treated by Giungoroen-therapy and IiGyeungByunQi-therapy (지언고론요법 및 이정변기요법으로 호전된 산후 우울증 환자 치험 1례)

  • Seo, Young-Min;Seo, Deok-Won;Ryu, Ho-Sun;Ahn, Hyo-Jin;Park, Se-Jin;Lee, Pil-Jae
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.3
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    • pp.151-161
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    • 2010
  • Objectives : Postpartum depression is a kind of serious problem which influences on the parturients, her family. In this case we tried psychotherapy to postpartum depression patient. Methods : We treated the patient with Oriental psychotherapy. And then we compared postpartum depression before treatment with on after treatment by Korean version of Edinburgh Postnatal Depression Scale(K-EPDS). Results : After treatments, the clinical symptoms were improved and K-EPDS was reduced 16 to 6. Conclusions : Oriental psychotherapy is effective on postpartum depression.